Individual
MS. MARIAN FENIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1130 SW MORRISON ST, #316, PORTLAND, OR 97205-2234
(503) 226-7079
(503) 226-1130
Mailing address
1130 SW MORRISON ST, #316, PORTLAND, OR 97205-2234
(503) 226-7079
(503) 226-1130
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L1308
OR
1041C0700X
Clinical Social Worker
LW00006389
WA
Other
Enumeration date
07/03/2006
Last updated
07/08/2007
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